coping with isolation by leeuwenburg
TRANSCRIPT
ALL ALONE ONKANGAROO ISLAND
TIM LEEUWENBURG
WARNING
WARNING
–Johnny Appleseed
“Type a quote here.” impostersyndrome
–Johnny Appleseed
“Type a quote here.” what Iknow
what I thinkothers know
–Johnny Appleseed
ruralmedicine Int Med
Psych Paeds
ObGyn
Anaes
EM
PHARMICU
all alone onKangaroo Island
MESSAGES
3
vulnerablity is OK
be kind to each othervulnerablity is OK
never alone with FOAMedbe kind to each othervulnerablity is OK
vulnerability
Steve
Next day
Overnight
Overnight
Overnight
Aftermath
Diagnosis FAIL
Aftermath
Diagnosis FAIL
Obs Chart FAIL
Aftermath
Diagnosis FAIL
Obs Chart FAIL
Communication FAIL
Aftermath
Diagnosis FAIL
Obs Chart FAIL
Communication FAIL
Aftermath
offhand comment in ICU
someone did (or did not do)
that they were not (or were)
supposed to doaccording to someone
something
Second Victim?
bureaucrazy
PRIVATE CLINIC
PrimaryCare
services
PUBLIC HOSPITAL
EmergencyObstetrics
Anaesthetics
Australian Competition & Consumer Commission
Anti Trust DivisionCompetition & Markets Authority
–Johnny Appleseed
“Type a quote here.”
shame
guiltshame
guiltshamereaction is to hide
guiltshamereaction is to hide
spurs us into action
vulnerability
vulnerabilitymedical erroradministrative frustrationwork-life balanceown expectations
expectation
expectation
reality
expectation
reality disappointment
knowledge
knowledgepeer support
metacognitionresilience trainingstress inoculation
3 YEARS LATER….
airway planning
challenge-response checklist
first pass success
bougierocketamine
cricothyroid membrane markedkit dump laryngeal handshake
apnoeic diffusion oxygenation
cognitive vs emotionalresilience
cognitive vs emotionalresilience
perfection
excellenceperfection
good enoughexcellenceperfection
have courage toexpose vulnerablility
be kindfor everyone you meetis fighting a hard battle
no longer aloneon Kangaroo Island
you are not alone
fin
jack of all tradesmaster of none
jack of all tradesmaster of none
but more usefulthan master of one